Loading...
HomeMy WebLinkAbout210426 HIGHLAND BUILDERS AND DESIGNClass B License_Highland Builders_5-1-2022_Page_1MN NeIgNBerlgpU Business VkRing GMrnmeik OntlneservkC AtoZ LocaWin Y:james Herron Colkicticns(0) ACCOYnt MBnagemert LogPLt Denver's Permitting and Licensing Center Search Nome DeyatopmentSamiou Bueinr unennea COMractor Liceneing Right-oy-Way Conveyance Fine Parke RBOraaoon Apply for a Uoense or CerUBcate Ma nage or Renew your Convector License Record LICO0247599: Add to m0action ConstrwWri Contractor License Record Status: Issued Expiration Daw O3/312024 Rcmtl IrVo. Black Leradon ReeeN D ft Appti®M: Bovine. Name: .lams R Herron HIGHLRND BUILDERS AND DESIGN LLC w J jhlamtuWmm CAO W 35thMv Derma. CO, s0212 Ur1htl States Bines Pluare:01031910,5018 .1AMESaHIGHLANDBUILGCOM a More OMRS pockalgw denwr CDp ONLINESERVICES OPEN DATA EC A-ZSERVCES 0 CopplyR2011SCyantl Cowryof Danes l Jobs lT sof Ua l PrMsys Scury Poky l Open Recwtls Poky KORAI I ftoNal Bp Poky A�� "® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 5/2/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Rebecca Shuster Hi Management land Risk Mana g FA PHONE 303 407-0822 AIC No Ext : � � (AIC, No): ADDRESS: rebbecas@highlandsriskmanagement.com 1932 W 33rd Ave INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Venture Denver CO 80211 INSURED INSURER B: TRAVELERS CAS INS CO OF AMER 19046 INSURER C: Pinnacol Highland Builders & Design LLC INSURER D: Atlantic Specialty 2255 SHERIDAN BLVD INSURER E: Unit C-296 INSURER F: EDGEWATER CO 80214 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ❑ OCCUR UAIV PREMISES (Ea occurrence) $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A ATN2128238 06/26/2021 06/26/2022 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO - POLICY ❑ POLICY 7 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY UUMBINEU,'31NULE 1T97-_ (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ x ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS BA4P642581 02/11/2022 02/11/2023 BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 E X EXCESS LAB CLAIMS -MADE BTN2127652 06/26/2021 06/26/2022 DED I I RETENTION $ $ C WORKERS COMPENSATION- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 4219945 10/01/2021 10/01/2022 STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 scheduled equipment 177,000 D Inland Marine 790030953-0001 06/26/2021 06/26/2022 rented/leased equipment 320,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Wheat Ridge ACCORDANCE WITH THE POLICY PROVISIONS. 7500 West 29th Ave AUTHORIZED REPRESENTATIVE RebbecuSk+�er Wheat Ridge CO 80033 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD